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Titolo:
Stent placement for renal arterial stenosis: Where do we stand? A meta-analysis
Autore:
Leertouwer, TC; Gussenhoven, EJ; Bosch, JL; van Jaarsveld, BC; van Dijk, LC; Deinum, J; Man int Veld, AJ;
Indirizzi:
Erasmus Univ Rotterdam Ee 2312, Dept Cardiol, NL-3015 GE Rotterdam, Netherlands Erasmus Univ Rotterdam Ee 2312 Rotterdam Netherlands NL-3015 GE herlands Erasmus Univ Rotterdam Ee 2312, Dept Radiol, NL-3015 GE Rotterdam, Netherlands Erasmus Univ Rotterdam Ee 2312 Rotterdam Netherlands NL-3015 GE herlands Erasmus Univ Rotterdam Ee 2312, Dept Internal Med, NL-3015 GE Rotterdam, Netherlands Erasmus Univ Rotterdam Ee 2312 Rotterdam Netherlands NL-3015 GE herlands Erasmus Univ Rotterdam Ee 2312, Dept Epidemiol & Biostat, NL-3015 GE Rotterdam, Netherlands Erasmus Univ Rotterdam Ee 2312 Rotterdam Netherlands NL-3015 GE herlands Erasmus Univ Rotterdam Ee 2312, Interuniv Cardiol Inst Netherlands, NL-3015 GE Rotterdam, Netherlands Erasmus Univ Rotterdam Ee 2312 Rotterdam Netherlands NL-3015 GE herlands Keio Univ, Dept Hlth Policy & Management, Tokyo, Japan Keio Univ Tokyo Japan Univ, Dept Hlth Policy & Management, Tokyo, Japan
Titolo Testata:
RADIOLOGY
fascicolo: 1, volume: 216, anno: 2000,
pagine: 78 - 85
SICI:
0033-8419(200007)216:1<78:SPFRAS>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; TRANS-LUMINAL DILATATION; BALLOON ANGIOPLASTY; RENOVASCULAR HYPERTENSION; BLOOD-PRESSURE; FOLLOW-UP; WALLSTENT ENDOPROSTHESIS; CORONARY-ARTERIES; RANDOMIZED TRIAL; PALMAZ STENT;
Keywords:
arteries, grafts and prostheses; hypertension, renovascular; renal arteries, stenosis or obstruction; renal arteries, transluminal angioplasty; stents and prostheses;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Gussenhoven, EJ Erasmus Univ Rotterdam Ee 2312, Dept Cardiol, Dr Molewaterpl 50, NL-3015 GE Rotterdam, Netherlands Erasmus Univ Rotterdam Ee 2312 Dr Molewaterpl 50 Rotterdam Netherlands NL-3015 GE
Citazione:
T.C. Leertouwer et al., "Stent placement for renal arterial stenosis: Where do we stand? A meta-analysis", RADIOLOGY, 216(1), 2000, pp. 78-85

Abstract

PURPOSE: To perform a meta-analysis of renal arterial stent placement in comparison with renal percutaneous transluminal angioplasty (PTA) in patients with renal arterial stenosis. MATERIALS AND METHODS: Studies dealing with renal arterial stent placement(14 articles; 678 patients) and renal PTA (10 articles; 644 patients) published up to August 1998 were selected. A random-effects model was used to pool the data. RESULTS: Renal arterial stent placement proved highly successful, with an initial adequate performance in 98% and major complications in 11%. The overall cure rate for hypertension was 20%, whereas hypertension was improved in 49%. Renal function improved in 30% and stabilized in 38% of patients. The restenosis rate at follow-up of 6-29 months was 17%. Stent placement hada higher technical success rate and a lower restenosis rate than did renalPTA (98% vs 77% and 17% vs 26%, respectively; P < .001). The complication rate was not different between the two treatments. The cure rate for hypertension was higher and the improvement rate for renal function was lower after stent placement than after renal PTA (20% vs 10% and 30% vs 38%, respectively; P < .001). CONCLUSION: Renal arterial stent placement is technically superior and clinically comparable to renal PTA alone.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 09:49:13